J Korean Foot Ankle Soc.  2012 Sep;16(3):156-161.

Brachymetatarsia

• Lee WC

Abstract

Brachymetatarsia is a rare congenital deformity which occurs most commonly in the fourth metatarsal. Most common purpose of surgery is to make a normal metatarsal parabola for better external appearance as well as physiological load bearing under the metatarsal heads. Common surgical treatment for brachymetatarsia is lengthening of short metatarsal either by one-stage lengthening with intercalary bone graft or gradual lengthening by distraction osteogenesis. Sometimes shortening of long metatarsal is combined with lengthening of the short metatarsal. The function of the foot is diminished due to diverse complication accompanying lengthening of the metatarsal, therefore preoperative consultation about the functional result is essential.

Keyword

Brachymetatarsia; One-stage lengthening; Distraction osteogenesis

MeSH Terms

Congenital Abnormalities
Foot
Head
Metatarsal Bones
Osteogenesis, Distraction
Transplants
Weight-Bearing